.

Headache
1 + Sickness

Y
· unilateral/bilateral
· Acure/chronic
? Sudden onset
Headaches
·

physically sick/nauseous
·
SOCRATES
·
Headache independent of sickness
·

Dizziness/Vertigo

. DDX neck pain

2

Y
·
neck lumps
· neck sliffness Neck pain
? pain radiate
posterior headache
·

· DDX of headache

Y
3 Thunderclap headache
.

Subarachnoid haemorrhage SAH

SX ?
·

.
Non-traumanc us traumatic
- what are
presenting

4. Red flap SX

3
sensory changes hearing
Sensory/neurological changes
-
·

Vision (photophobia) Red PSX +

·
Weakness-Neurological defect

. Assoc SX of headache

Y
5
·
Drug Se (vomiting) Assoc SX of headaches
.

? pregnancy
aura
·
Migraine wi
· medicanon overuse headache

. Raised ICP
6 ? Malignancy

RaisedICP
-
·

Systemic SX +C-spine Spondylosis

·
C-spire spondylosis
Timeline -
progressively worse

.
7 Anxiety how

Y
-
long
·
related w/ HR + BP
·
SE+ Dosage - .
Amitryphline Anxiety + SE/doses of Amitryphline/propanolol
·
Propanolo

· PMH of Migraines
managed for HTN ?
·
Appropriately
· medication rx

. Risk factors
8 Smoking
& rxfactors assoc WIHTN
-

·
IS BP & only in one arm

9
.What rigidity ?

&
is nuchal

meningitis
meningitis/nuchal rigidity/occular motor palsy
·

·
How to test rigidity
·
occular Motor palsy -
Examination + SAH

10 Brief anatomy of ear-paint management

Year anatomy+
.

·
Criteria for 2ww for Skin cancers skin cancer
·
Skin cancer -
3 main types
conditions once
11 .
Appropriate management Multiple
of presenting at
12
· Supervision
· Prioritischon
·
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